| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Aspirus Medford Hospital | 135 S Gibson St, Medford | J1726 | $37 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | J1726 | $37 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J1726 | $37 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | J1726 | $37 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J1726 | $37 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J1726 | $42 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | J1726 | $48 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J1726 | $51 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | J1726 | $360 [source] | 4 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | J1726 | $404 [source] | 4 years ago |